Table of content for "Revasc intravasc lithotripsy" (HCPCS C9764)
General information on the “C9764” code
HCPCS Code: C9764
Long Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
Short Description: Revasc intravasc lithotripsy
Original information is taken from C9764 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20200701
Type of service
Berenson-Eggers Type of Service (BETOS): P2F – Major procedure, cardiovascular-Other
Type Of Service 1: 2 – Surgery
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20200701
Code Effective Date: 20200701
Action Code: N – No maintenance for this code